DESCRIPTION
Provocative and neutralization therapy for food allergies involves the parenteral administration of offending allergenic extracts as antigens at periodic intervals. It begins with low doses to prevent untoward reactions, with gradually increasing doses injected to a dosage that is maintained as maintenance therapy. The goal is reduction of immune response.
POLICY
Provocative and neutralization therapy in the treatment of allergies is considered investigational.
See also: General Policy for Allergy Testing and Treatment
ADDITIONAL INFORMATION
Provocative and neutralization therapy in the treatment of allergies does not meet the following technology evaluation criteria:
The scientific evidence must permit conclusions concerning the effect of the technology on health outcomes.
The technology must improve the net health outcome.
The technology must be as beneficial as any established alternatives.
The improvement must be attainable outside the investigational settings.
SOURCES
American Academy of Allergy, Asthma & Immunology. (2003). Tips to remember: What is allergy testing? Retrieved July 22, 2003 from http://www.aaaai.org/patients/publicedmat/tips/whatisallergytesting.stm.
American Academy of Allergy, Asthma & Immunology. (1981). Physician reference materials: Position statement 8. Controversial techniques. Retrieved December 11, 2001 from http://www.aaaai.org/professional/physicianreference/positionstatements/ps08.stm.
Complete Guide to Medicare Coverage Issues [Computer software]. (2005, November). Food allergy testing and treatment - not covered (NCD 110.11, p. 2-52). St. Anthony Publishing.
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EFFECTIVE DATE |
8/10/2006 |
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Policies included in the Medical Policy Manual are not intended to certify coverage availability. They are medical determinations about a particular technology, service, drug, etc. While a policy or technology may be medically necessary, it could be excluded in a member's benefit plan. Please check with the appropriate claims department to determine if the service in question is a covered service under a particular benefit plan. Use of the Medical Policy Manual is not intended to replace independent medical judgment for treatment of individuals. The content on this Web site is not intended to be a substitute for professional medical advice in any way. Always seek the advice of your physician or other qualified health care provider if you have questions regarding a medical condition or treatment.
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